(1) An applicant for a podiatrist license shall submit an application on a form prescribed by the board. The application must be complete and accompanied by the appropriate fees and the following information and/or documentation:

(a) verification of the applicant's podiatric medical education, including graduate medical education;

(b) verification of passage of an examination as required by 37-6-302, MCA;

(c) a history of applicant's podiatry practice, including dates and locations and noting any periods of inactivity; and

(d) a Federation of Podiatric Medical Boards disciplinary report, submitted directly to the board by the FPMB.